DR. ALEXANDRA CAPPIELLO HRISTOV (NPI# 1003966292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003966292 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRA CAPPIELLO HRISTOV |
| Credential | M.D. |
| Practice Address |
1500 E Medical Center Dr 2nd Floor University Hospital Recp Pathology Ann Arbor MI 48109-5054 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 8008627284 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
4301098763 | MI | Allopathic & Osteopathic Physicians |
| N | 207ZH0000X |
Pathology Specialization: Hematology |
A110972 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
4301098763 | MI | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301098763 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1500 E MEDICAL CENTER DR 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475836 | Tami L. Remington | Pharmacist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-0999 | 2005-05-23 |
| 1578164810 | Jessica Leigh Bailey | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-11-03 |
| 1518565910 | Yoshiaki Ota | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-10-16 |
| 1366058356 | Paulo Zupelari Goncalves | Dentist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-09-16 |
| 1306459466 | Jesse P Spalding | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1992318919 | Batoul Berri | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1063024891 | Nathan Allen Johnson | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-22 |
| 1780296699 | Yoav Hammer | Internal Medicine | 1500 E Medical Center Dr, 2nd Floor, Cardiovascular Center, Ann Arbor, MI 48109-5853 | 2020-08-21 |
| 1891306262 | Sarah Garnai | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-11 |
| 1386254936 | Ryan James Sutherlan | Pharmacist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760812523 | Scott Conley Bresler | Dermatology | 1500 E Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2013-11-14 |
| 1639318223 | May Puiyan Chan | Dermatology | 1500 E Medical Center Drive, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2009-02-05 |
| 1952550311 | Paul William Harms | Dermatology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2008-09-10 |
| 1669421145 | Aleodor Alexandru Andea | Dermatology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114489945 | Novice Aesthetics and Dermatology Pllc | Dermatology | 4120 W Maple Rd Ste 206, Bloomfield Hills, MI 48301-3068 | 2019-04-01 |
| 1962585596 | Wei Su | Dermatology | 43900 Garfield Rd Ste 100, Clinton Township, MI 48038-1137 | 2006-10-24 |
| 1629090691 | Janine Mangini | Dermatology | 16520 19 Mile Rd, Clinton Twp, MI 48038-1106 | 2006-07-25 |
| 1619909611 | Nicole M. Bossenbroek | Dermatology | 6225 Prairie St, Norton Shores, MI 49444-7831 | 2006-07-07 |
| 1104874411 | S L Husain Hamzavi | Dermatology | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 | 2006-05-05 |
| 1528052834 | John Michael Pelachyk | Dermatology | 1602 Military St, Port Huron, MI 48060-5933 | 2005-09-01 |
| 1528599750 | Singer Dermatology | Dermatology | 29355 Northwestern Hwy, 302, Southfield, MI 48034-1053 | 2017-03-21 |
| 1538538178 | Specialized Pathology Partners PC | Dermatology | 4798 Wenmar Dr, Saginaw, MI 48604-2843 | 2015-09-24 |
| 1255724100 | West Michigan Pathology Specialists, PC | Dermatology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2015-03-16 |
| 1053547885 | Liaqat Ali | Dermatology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2009-06-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.